
An orthodontic consultation is the first step toward a healthier, more confident smile. It’s a diagnostic visit designed to leave you with a clear picture of the issue, realistic treatment options, likely timelines, and expected costs. This guide walks through a typical orthodontic consultation in Citrus Heights—why high-quality imaging and a tailored treatment plan matter, and how Invisalign and traditional braces compare for different ages and case types. Many people arrive unsure what will happen; this article reduces that uncertainty by outlining each stage—from a warm welcome to financial planning—and by giving practical tips to help you prepare. Inside you’ll find a step-by-step overview of the visit, a straightforward comparison of clear aligners versus braces, information about Carl Trubschenck, D.D.S., patient-facing FAQs, a prep checklist, and a summary of financing options. Read on to know what to expect at your first orthodontic appointment and how to come ready to make informed decisions about your smile.
Our free orthodontic consultation is a focused diagnostic visit where a clinician reviews your bite, tooth alignment, and jaw function, uses imaging to identify structural issues, and outlines appropriate treatment paths with estimated timing and costs. We combine a clinical exam with targeted imaging—digital X-rays, intraoral photos, and 3D scans—to show tooth positions, root and bone relationships, and any airway or jaw-joint considerations. The main benefit is a personalized plan that clarifies whether Invisalign, metal or ceramic braces, or a hybrid approach is the best next step. You’ll leave with a recommended approach, a rough timeline, and information about financing and follow-up planning.
The consultation follows a simple, patient-focused flow. The visit starts with check-in and a brief office orientation, continues with imaging and a clinical exam, and ends with a shared decision discussion reviewing options and next steps. Below is a quick, easy-to-scan step list that highlights timing and expected outcomes.
This clear sequence helps us diagnose efficiently and gives you a straightforward path forward; the sections that follow explain how the reception and office tour set the tone and how diagnostic findings become a treatment plan.
A friendly check-in and short office tour reduce anxiety and clarify logistics so you can focus on the exam. Our front desk will confirm your medical history, review privacy and consent forms, and introduce team members you’ll meet—these small steps help you feel comfortable before clinical work begins. The tour may also point out diagnostic technology and comfort features so you know what to expect. That early connection sets up a calm transition into imaging and the clinical exam.
The diagnostic phase pairs clinical observation with imaging to build a complete picture of dental and skeletal relationships that guide treatment decisions. Common tools used during the consultation are a visual exam, digital X-rays, intraoral photos, and either impressions or intraoral 3D scans. Each tool highlights different details—root alignment, bone support, and tooth surface contours—that matter for planning. The table below summarizes these diagnostic tools and the value they add to an orthodontic assessment.
Diagnostic tools and their purposes:
Diagnostic ToolPurposeWhat It ShowsDigital X-raysExamine roots and boneRoot positions, bone height, impacted teethIntraoral 3D scanCapture exact tooth surfacesPrecise arch form and digital models for planningExtraoral/ intraoral photosRecord esthetics and smile dynamicsTooth display, lip support, facial symmetryClinical examAssess bite and jaw functionOverbite/overjet, midline, TMJ signs
Together these records create a detailed case that allows clinicians to simulate outcomes and choose the best appliance. Clear imaging also helps us explain options and realistic timelines during the treatment-planning conversation that follows.
A personalized plan converts diagnostic findings into concrete appliance recommendations, estimated timelines, and a retention strategy that aligns with your goals. We review your images and exam results to recommend options—Invisalign for mild-to-moderate crowding or braces for more complex movements, for example—and explain the typical phases: active alignment, finishing/detailing, and retention. Visual aids like simulations or models help you see likely changes and set realistic expectations, which supports shared decision-making. You’ll be encouraged to ask questions before deciding; we’ll point out trade-offs like visibility, hygiene, and the role of patient compliance.
At the consultation we provide a cost estimate, review payment options, and help schedule follow-up or treatment starts based on your chosen plan. We’ll check insurance coverage possibilities, outline available payment plans, and explain the appointment cadence during active treatment and retention. Understanding the sequence—diagnosis, planning, any pre-treatment, appliance placement, and periodic adjustments—helps set realistic expectations for time and commitment. After reviewing finances and timing, our staff will assist in scheduling the next clinical step, whether that’s placing appliances or ordering case-specific records.
Invisalign and traditional braces are the primary approaches to moving teeth. They differ mainly in visibility, removability, and their suitability for complex movements. Clear aligners use a series of custom, removable trays to move teeth gradually—an aesthetic, hygiene-friendly option that depends on patient compliance. Braces—metal or ceramic—use brackets and wires to apply continuous forces, which can be more effective for complex corrections and predictable root control. The right choice depends on case complexity, your priorities (appearance vs. control), and lifestyle factors like diet and oral hygiene.
The table below gives a quick comparison of key attributes to help you determine which option might fit your needs.
TreatmentVisibilityRemovabilityTypical Treatment TimeCost FactorsInvisalign (clear aligners)Low visibilityRemovable for eating and cleaningModerate; case-dependentAligner sets, refinement trays, patient complianceTraditional metal bracesMore visibleFixedVaries; often more predictable for complex casesAppliance type, lab fees, adjustment visitsCeramic bracesLess visible than metalFixedComparable to metal in many casesMaterial costs, cosmetic premium
The main differences are how force is delivered and how you live with the appliance day-to-day. Invisalign uses removable trays that need consistent wear—usually 20–22 hours per day—to achieve planned movements, so patient responsibility is key and hygiene is easier. Braces apply continuous force through brackets and wires, offering fine control for root movement and complex corrections while relying less on patient compliance for force delivery. Comfort and maintenance also differ: aligners can cause brief pressure when trays switch, while braces may need wire adjustments and some dietary restrictions.
Age-related factors include growth, compliance, and appearance priorities. Teens benefit from braces when growth guidance or complex movements are needed, while adults often choose clear aligners for a discreet option. Teens can be great candidates for Invisalign when they’re responsible and the case fits the aligner system; however, braces remain preferable for severe rotations, major bite corrections, or skeletal issues. Retention is essential for all ages—wearing retainers after active treatment preserves results—so your clinician will recommend the best retainer based on final tooth positions.
After weighing options, many people want to know where to get care; the note below explains local availability and next steps.
At Carl Trubschenck, D.D.S., orthodontic services are part of comprehensive dental care. We offer free consultations to review Invisalign and braces in detail, and our team focuses on patient comfort and clear communication when comparing options. Staff can help schedule a consultation to determine which treatment best fits your lifestyle and clinical needs.
Choosing the right clinician means balancing clinical skill, patient experience, and diagnostic capability—factors that support consistent results and a positive treatment journey. Clinical expertise leads to accurate diagnosis and appropriate appliance selection, patient-centered care lowers anxiety and boosts adherence, and advanced imaging increases precision in movement planning. Consider these dimensions when choosing a provider who can deliver technical results while keeping the process comfortable and easy to understand. The sections below outline credentials, our comfort-first approach, and the technology that supports effective care.
Dr. Carl Trubschenck graduated with honors from the UOP School of Dentistry, completed post-graduate training in periodontics and cosmetic dentistry, and has served as a national consultant on new dental products. That mix of education, advanced training, and industry experience gives him a broad clinical perspective across restorative, cosmetic, and orthodontic needs. His periodontics background is especially helpful when planning tooth movements that interact with gum and bone health—coordinated care reduces risk and improves long-term stability. You can expect clinical decisions informed by this training and focused on both function and appearance.
We prioritize clear explanations, a paced treatment approach, and comfort measures to reduce fear and encourage cooperation throughout multi-visit orthodontic care. Thoughtful staff communication, predictable appointment routines, and sensitivity to each patient’s pace help people feel involved rather than rushed, which improves oral hygiene and appliance wear—two key factors for success. Gentle care also means thoughtful pain management during adjustments and prompt responses to concerns, all of which help minimize disruptions to daily life. When clinicians combine technical skill with empathetic care, the treatment journey is easier and more satisfying.
Digital tools improve measurement accuracy and simulation capability, helping clinicians predict tooth movements and show realistic outcomes. Digital X-rays reveal bone and root structure, while intraoral 3D scans produce precise digital models for aligners or bracket placement guides; together these records support treatment simulation and increase predictability. These technologies reduce manual errors, speed appliance fabrication, and improve fit. Using them also helps us communicate progress expectations clearly, supporting informed choices and confident consent.
Patients often ask whether the initial consultation is free, how long it takes, what to bring, and whether treatment can start the same day. Clear, direct answers remove uncertainty and make it easier to schedule. The short Q&A below addresses the most common concerns in a quick, readable format.
Yes. We offer a free orthodontic consultation that includes an exam and a discussion of treatment options; imaging may be performed during the visit if needed to complete the assessment. During this consult, clinicians explain what options fit your case and outline likely timelines and next steps, giving you a no-cost way to learn whether orthodontic care is right for you. Staff can also review payment options and scheduling during the visit to help you plan. This free consult is a low-risk way to explore potential treatment pathways.
A comprehensive orthodontic consultation usually takes between one hour and ninety minutes when imaging and a detailed discussion are included. Shorter screenings or second opinions may take less time, while more complex records and planning sessions can be longer. Time is set aside for diagnostic images, the clinical exam, and a review of options with you and your family when appropriate. Knowing the typical timeframe helps you plan your visit with confidence.
Bringing a few key items makes the consultation smoother and gives the clinician useful background. Helpful items include your insurance card and photo ID, any recent dental or orthodontic records and X-rays, a list of current medications, and written questions or your smile goals. Prior records let us compare progress and may reduce the need for duplicate imaging, speeding the process. These materials make the consultation more efficient and informative.
Usually the first visit is for assessment and planning; active treatment typically begins at a follow-up when appliances are ready or any pre-treatment steps are completed. Occasionally we can start sooner if diagnostics are straightforward and the patient is prepared, but most active starts require ordering custom appliances or scheduling placement. Staff will explain timing and, when possible, coordinate appliance fabrication so treatment can begin without unnecessary delay. Clear communication about next steps helps you know when and how treatment will proceed.
Remember: we offer free consultations and flexible financing options. If you’re ready to move forward, our team can help schedule a visit to review options in detail and begin planning treatment.
Preparing for your consultation helps you make the most of the appointment and makes decisions easier afterward. Preparation means gathering records and insurance information, writing down questions and treatment goals, and taking steps to reduce anxiety so you can focus on the clinical discussion. The sections below list documents to bring and simple mental and physical prep tips to improve the visit experience.
Bringing certain documents speeds verification of benefits and informs planning. Bring your insurance card, photo ID, and any dental or orthodontic records you have. Prior X-rays or treatment notes are especially useful if you’ve had previous orthodontic work, since they let us compare and may avoid repeat imaging. Also bring a list of current medications and a brief medical history so the clinician can consider systemic factors. This paperwork supports a more accurate cost estimate and a precise treatment plan.
Mental preparation means writing down questions and treatment goals and being ready to discuss lifestyle priorities like appearance and your time horizon for treatment. Physically, brush and floss before the visit and avoid heavy meals if imaging or intraoral scans are scheduled soon after check-in. Simple relaxation techniques—deep breathing or a short walk—can reduce anxiety and help you engage fully during the consultation. Arriving prepared supports an efficient visit and a more productive shared decision process.
Knowing financing options ahead of time reduces sticker shock and helps you choose a treatment path you can commit to. Common methods include cash discounts, layaway plans, third-party financing like CareCredit, and insurance benefit verification that may offset costs. Presenting options clearly lets patients compare monthly terms and total costs and pick the plan that fits their budget. The table below summarizes these typical options and who they serve best.
Intro to table: Below is a concise comparison of payment options commonly discussed during orthodontic planning.
Payment OptionOption TypeTypical TermsBest ForCash DiscountOffice-offeredLower total when paid up frontPatients able to pay in fullLayaway PlanOffice-offeredPayments made before treatment beginsBudget-conscious plannersCareCreditThird-party financeMonthly installments, subject to approvalThose needing flexible monthly paymentsInsurance VerificationBenefit checkCoverage varies by plan; office assistsPatients with orthodontic benefits
Our practice offers flexible financing options, including cash discounts, layaway plans, and acceptance of CareCredit to help manage treatment costs. These choices let you select between upfront savings, staged prepayment, or third-party monthly financing depending on preference and eligibility. Staff will explain enrollment steps and help estimate monthly payments based on your selected plan, simplifying decision-making. Discussing finances at the consultation ensures you understand commitments before treatment begins.
Insurance for orthodontics varies widely, so we recommend pre-visit verification to estimate your responsibility accurately. Our office can review benefits, submit pre-treatment estimates when possible, and explain common coverage patterns—such as lifetime maximums or age limits—without guaranteeing specifics. Bringing your insurance information and any prior authorizations to the consultation speeds this process and helps staff provide a clearer cost estimate. Clear verification reduces surprises and helps identify the best payment option.
These practical steps help ensure the consultation results in a concrete plan that matches both clinical needs and your budget.
There’s no single ideal age, but the American Association of Orthodontists recommends a first evaluation by age 7 to catch developing issues early. Early checks can simplify later treatment when needed. That said, adults can and do start orthodontic care at any age—it’s never too late to improve your smile.
Signs you might need treatment include crowded or crooked teeth, gaps, trouble biting or chewing, and jaw pain or clicking. A consultation can clarify whether treatment is recommended. Cosmetic concerns are also valid reasons to seek advice—improving your smile often boosts confidence and function.
Delaying treatment can allow alignment problems to worsen, make hygiene harder (increasing risk of decay and gum disease), and sometimes lead to jaw pain or TMJ issues. Early intervention can make treatment simpler and more effective, so addressing concerns sooner is usually beneficial.
Yes. Many adults pursue orthodontics to improve appearance and oral health. Advances like clear aligners and low-profile braces make treatment more appealing. Adult treatment can correct long-standing issues and enhance dental function, making it a worthwhile investment.
After treatment begins, expect regular follow-ups to monitor progress and make adjustments. You may feel some discomfort when teeth shift, which usually eases within a few days. Maintain good oral hygiene, follow care instructions, and observe any dietary recommendations. Your orthodontist will outline the timeline and milestones for your case.
Good hygiene is essential to prevent cavities and gum problems. Brush at least twice daily and use an interdental brush or floss threader to clean around brackets and wires. An antibacterial mouthwash can reduce plaque. Avoid sticky or hard foods that could damage appliances, and keep up regular dental check-ups throughout treatment.